A Phase 2, Randomized, Observer-Blind, Dose Finding Trial to Evaluate Safety and Immunogenicity of an Investigational Pandemic Flu Vaccine
A Phase 2, Randomized, Observer-Blind, Dose Finding Trial to Evaluate Safety and Immunogenicity of 1 and 2 Administrations of Pandemic Monovalent Influenza Vaccines Administered at Different Antigen and Adjuvant (CpG 1018®Adjuvant and Alum) Doses
PPD Australia PTY LTD
180 participants
Nov 19, 2025
Interventional
Conditions
Summary
The primary purpose of this study is to determine the safety and immunogenicity of one and two doses of DCO1 at different adjuvant and alum doses. This will be a phase 2 randomised observer blinded trial which aims to help be better prepared for a potential influenza pandemic.
Eligibility
Inclusion Criteria11
- Willing to participate: informed consent provided for the trial
- Male and female participants greater than or equal to 18 to 64 years of age (Age cohort 1) and greater than or equal to 65 years of age (Age cohort 2)
- Be in good health in the opinion of the investigator, based upon medical history, physical examination and laboratory evaluation
- Must be able to comprehend and follow all required trial procedures and be available for all visits scheduled in the trial
- Seronegative for human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV)
- If female of child-bearing potential and heterosexually active, has practiced adequate contraception for at least 28 days prior to vaccination, has negative pregnancy tests just prior to vaccination, and has agreed to continue adequate contraception through 3 months following the final study injection.
- A premenopausal woman who has at least one of the following is considered not of childbearing potential:
- a) Documented hysterectomy
- b) Documented bilateral salpingectomy
- c) Documented bilateral oophorectomy
- d) Documented and current bilateral tubal ligation or occlusion
Exclusion Criteria26
- History of sensitivity to any component of trial vaccine(s)
- Recent or ongoing history of febrile illness within 72 hours of the trial injection (defined as at least 1 measured body temperature of greater than or equal to 38°C, regardless of route of measurement). Participants meeting this criterion may be rescheduled within the protocol-defined window.
- If female, is pregnant (known before or established at the time of screening), breastfeeding, or planning a pregnancy or to breastfeed
- Known or suspected immunodeficiency (including but not limited to HIV/AIDS), or immunocompromised state, as assessed by medical history, past or current laboratory studies, and/or physical examination
- Has received the following prior to any trial injection:
- a) within 14 days:
- i) Any licensed or authorized inactivated vaccines (including vaccines containing mRNA or CpG)
- b) within 28 days:
- i) Any live vaccine
- ii) Any other investigational medicinal agent
- c) within 90 days:
- i) Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune modifying drugs during the period starting 90 days prior to the first study vaccine administration or planned administration during the study period. (For corticosteroids, this will mean prednisone greater than or equal to 20mg/day, or equivalent.
- Inhaled, topical, and intraarticular steroids, other topical immunomodulators, and imiquimod are allowed.)
- ii)Granulocyte or granulocyte-macrophage colony-stimulating factor
- iii) Immunoglobulins or any blood products (receipt of certain monoclonal antibodies may on a case-by case basis be non-exclusionary if approved via consultation with Sponsor Medical Monitor)
- iv) Antisense oligonucleotides
- v) Drugs/investigational agents with very long half-lives (defined as greater than equal to 60 days)
- vi) Infusion of blood products
- d) At any time: DNA plasmids or other genetic therapy intended to integrate permanently into host cell
- Is undergoing chemotherapy or expected to receive chemotherapy during the trial period; has a diagnosis of cancer within the last 5 years other than squamous cell or basal cell carcinoma of the skin
- History or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the participant's participation for the full duration of the trial, or is not in the best interest of the participant to participate, in the opinion of the treating investigator.
- Underlying chronic medical condition requiring ongoing followup and monitoring by a healthcare provider that might affect the immune response to vaccine (eg, diabetes mellitus, chronic kidney disease)
- Known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial
- Current or historical autoimmune disease
- Any skin condition and/or tattoo on both arms that may interfere with the evaluation of safety at the injection site.
- Any other finding that the Investigator considers will make the participant unsuitable for the trial or unable to comply with the trial requirements
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Interventions
Two age cohorts will be randomised as part of part 2 (18-64 and greater than or equal to 65 years old) into 5 arms per cohort receiving a singular intramuscular injection of A/H5N1 HA with CpG 1018® Adjuvant with or without alum on Day 1 Doses for both age cohorts in the phase 2 study will be determined based on results from phase 1 1: HA 15 mcg; alum 750 mcg 2: HA 15 mcg; CpG 1018 750 mcg; alum 750 mcg 3: HA 7.5 mcg; CpG 1018 750 mcg; alum 750 mcg 4: HA 3.75 mcg; CpG 1018 750 mcg; alum 750 mcg 5: HA 15 mcg; CpG 1018 3000 mcg; alum 750 mcg 21 days after initial administration patients will either receive a second, single dose of the investigational product or a placebo, 1mL normal saline based on randomisation at enrollment. Participants in Arm 5 will receive placebo as the second injection. Product was administered at the study site so adherence to the assigned study arm was captured in site records.
Locations(1)
View Full Details on ANZCTR
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ACTRN12626000417381